Cleaning registration – Hive Home Care

About you

Name *

Street Address *

City *

Post Code *

Phone *

Email Address *

Frequency

When would you like to start? *

Preferred time slot *Morning (between 9am - 12pm)Afternoon (between 12pm - 3pm)Late afternoon (Between 3pm - 6pm)

Please give more details

About your home

# of levels

# of bedrooms *

# of bathrooms *

# of toilets *

# of kitchens *

# of dining room

Do you have any other rooms that require cleaning?YesNo

Please give more details

About your cleaning requirements

Please let us know what your cleaning requirements are? *Which rooms do you require and what cleaning is required in these room

Do you need additional services? *Laundry services ( washing clothes, hanging out, ironing)Washing up services (cleaning dishes)Organising/clearing (For example: organising cupboards, clearing out outdated food)OtherNo thank you

Please give more details

Number of cleaners required per visit? *

Cleaning supplies *Client will provide cleaning suppliesHive Home Care to provide cleaning supplies (may have additional cost)

Full name *

Signature *

Date *